Endocrine surgery department, University Hospital La Timone, 13000 Marseilles, France.
J Visc Surg. 2012 Oct;149(5):e361-3. doi: 10.1016/j.jviscsurg.2012.05.002. Epub 2012 Jun 12.
Bronchogenic cysts are benign congenital malformations usually. A retroperitoneal location is extremely uncommon. We reported a case of bronchogenic cyst occurred in the retroperitoneum in a 60-year-old patient. An abdominal CT for a prostatic adenocarcinoma staging has reported this incidental lesion. Biological, radiological and histological assessment confirmed the bronchogenic cyst diagnosis. The treatment of choice for most authors is surgical excision. However, because of a low malignant transformation risk, we have chosen a follow-up with abdominal computerized tomography every 6 months. During 3 years, biological and radiological assessments have shown a stable lesion. Therefore, it seems reasonable to propose a simple radiological monitoring for bronchogenic cysts in selected patients.
支气管源性囊肿通常为良性先天性畸形。发生在后腹膜的位置极为罕见。我们报告了一例 60 岁患者发生在后腹膜的支气管源性囊肿。一例前列腺腺癌分期的腹部 CT 报告了这一偶然发现的病变。生物学、影像学和组织学评估证实了支气管源性囊肿的诊断。大多数作者的治疗选择是手术切除。然而，由于恶性转化风险低，我们选择了每 6 个月进行一次腹部计算机断层扫描随访。在 3 年期间，生物学和影像学评估显示病变稳定。因此，对于选定的患者，建议对支气管源性囊肿进行简单的影像学监测似乎是合理的。
